1023562576 NPI number — BD HEALTH SERVICES, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023562576 NPI number — BD HEALTH SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BD HEALTH SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023562576
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/12/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 REISTERSTOWN RD.
Provider Second Line Business Mailing Address:
SUITE 600 C
Provider Business Mailing Address City Name:
PIKESVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:
866-530-9250

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3955 NORTH POINT RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNDALK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-477-0744
Provider Business Practice Location Address Fax Number:
410-510-1123
Provider Enumeration Date:
08/12/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KAMMER
Authorized Official First Name:
SABRINA
Authorized Official Middle Name:
CHRISTINA
Authorized Official Title or Position:
PROGRAM SPONSOR
Authorized Official Telephone Number:
410-477-0744

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)